Individual
JOHN CHRISTIAN GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 W SUPERIOR ST, OTTAWA, IL 61350-2032
(954) 304-6114
Mailing address
212 W SUPERIOR ST, OTTAWA, IL 61350-2032
(954) 304-6114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
03/07/2024
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